510(k) Report

510(k) · Cleared

Cleared

TriMAX Implant System

K190722510(k) TraditionalCleared Aug 16, 2019149-day reviewClass II21 CFR 888.3030

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Crossroads Extemity Systems, LLC · JDR Staple, Fixation, Bone

Cleared on Aug 16, 2019 as substantially equivalent to K181410 (Crossroads Extremity Systems, LLC, 2018) and 3 other predicates after a 149-day review. Its family tree reaches back 12 generations to 1996.

Decided
Aug 16, 2019
Review
149 days
Class
Class II
Product code
JDR
Recalls
None
Predicates
4

Its longest line of descent runs back 12 generations to K962616 (1996). 128 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2018: 1 other ancestor2017: 1 other ancestor2016: 2 other ancestors2014: 2 other ancestors2013: 1 other ancestor2002: 7 other ancestors2001: 8 other ancestors2000: 9 other ancestors1996: 10 other ancestors2012: 1 other ancestor2011: 1 other ancestor2010: 3 other ancestors2008: 4 other ancestors2007: 5 other ancestors1999: 8 other ancestors1997: 1 other ancestor1993: 2 other ancestors1990: 3 other ancestors2009: 1 other ancestor2006: 9 other ancestors2005: 8 other ancestors2003: 3 other ancestors1998: 4 other ancestors1995: 4 other ancestors1994: 3 other ancestors1989: 4 other ancestors1987: 1 other ancestor1979: 1 other ancestor2004: 4 other ancestors1992: 2 other ancestors1991: 1 other ancestor1981: 1 other ancestor1980: 1 other ancestorK962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×2: 2 generations cleared close together, K023007 (2002), K030198 (2003) K032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003×2: 2 generations cleared close together, K050932 (2005), K051735 (2005) K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K143039 · CrossRoads Screw System · Orthodiscovery Group, LLC (D.B.A. Crossroads Extrem · 2015K152072 · CrossRoads Screw System · Crossroads Extremity Systems, LLC · 201519801990200020102020
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 7 other ancestors3 generations back: 15 other ancestors4 generations back: 30 other ancestors5 generations back: 28 other ancestors6 generations back: 24 other ancestors7 generations back: 3 other ancestors8 generations back: 2 other ancestors9 generations back: 2 other ancestors10 generations back: 1 other ancestor11 generations back: 1 other ancestor K152072 · CrossRoads Screw System · Crossroads Extremity Systems, LLC · 2015K143039 · CrossRoads Screw System · Orthodiscovery Group, LLC (D.B.A. Crossroads Extrem · 2015K111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K051735 · Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity · Smith & Nephew, Inc. · 2005K050932 · Distal Volar Radius Anatomical Plate System · Hand Innovations, Inc. · 2005 · recalledK032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K030198 · Hand Innovations, Inc. Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K023007 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2002K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996−10−50
  1. Root · 12 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 8 generations between
  3. 3 generations backK111994 Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc. · 2011
  4. 2 generations backK143039 CrossRoads Screw SystemOrthodiscovery Group, LLC (D.B.A. Crossroads Extrem · 2015
  5. 1 generation backK152072 CrossRoads Screw SystemCrossroads Extremity Systems, LLC · 2015
  6. This deviceK190722 TriMAX Implant SystemCrossroads Extemity Systems, LLC · 2019
Show all 12 generations
  1. Root · 12 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 11 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 10 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 9 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 8 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 7 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 6 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 5 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 4 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 3 generations backK111994 Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc. · 2011
  11. 2 generations backK143039 CrossRoads Screw SystemOrthodiscovery Group, LLC (D.B.A. Crossroads Extrem · 2015
  12. 1 generation backK152072 CrossRoads Screw SystemCrossroads Extremity Systems, LLC · 2015
  13. This deviceK190722 TriMAX Implant SystemCrossroads Extemity Systems, LLC · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−11K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−10K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−9K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−8K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−7K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−6K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−5K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−4K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−3K111994Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc.2011—
−2K143039CrossRoads Screw SystemOrthodiscovery Group, LLC (D.B.A. Crossroads Extrem2015—
−1K152072CrossRoads Screw SystemCrossroads Extremity Systems, LLC2015—
0 (this device)K190722TriMAX Implant SystemCrossroads Extemity Systems, LLC2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198710
198940
199030
199110
199220
199320
199430
199540
1996100
199710
199840
199980
200090
200180
200270
200330
200440
200580
200690
200750
200840
200910
201030
201110
201210
201310
201420
201620
201710
201810
FIG. 1 — Lineage of K190722, 1996–2019Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in JDR? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new JDR device

  1. #1 K243658 TMC Compression Implant Systemscore 16.7 · 18 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K181410MotoCLIP/HiMAX Implant System
Summary page 4
…ixation appliances and accessories) Panel: 87- Orthopedic Product Code: JDR Predicate Devices: CrossRoads MotoCLIP™/HiMAX Implant System (K181410) CrossRoads Screw System (K152072) Stealth Staple (K153622 and K163440) Device Des…
Crossroads Extremity Systems, LLC2018—
*K152072CrossRoads Screw System
Summary page 4
…87- Orthopedic Product Code: JDR Predicate Devices: CrossRoads MotoCLIP™/HiMAX Implant System (K181410) CrossRoads Screw System (K152072) Stealth Staple (K153622 and K163440) Device Description: The TriMAX™ Implant System is a staple system w…
Crossroads Extremity Systems, LLC2015—
*K153622First Ray Internal Bone Staple System
Summary page 4
…redicate Devices: CrossRoads MotoCLIP™/HiMAX Implant System (K181410) CrossRoads Screw System (K152072) Stealth Staple (K153622 and K163440) Device Description: The TriMAX™ Implant System is a staple system which gives the surgeon a means of bone fixation…
First Ray, LLC2016—
*K163440Stealth Staple System
Summary page 4
…ices: CrossRoads MotoCLIP™/HiMAX Implant System (K181410) CrossRoads Screw System (K152072) Stealth Staple (K153622 and K163440) Device Description: The TriMAX™ Implant System is a staple system which gives the surgeon a means of bone fixation in the manag…
First Ray, LLC2017—

Also cleared against K181410: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 23 years and passes through 7 companies; a new generation was cleared every 2.1 years on median.
  • 27 of the 128 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K181410.

How does its category compare?

All JDR devices

JDR Staple, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · JDR

3in 2025

2007: 82008: 52010: 22011: 12012: 12013: 92014: 112015: 72016: 62017: 92018: 82019: 52020: 42021: 32022: 52023: 92024: 42025: 32026 (partial year): 2
2007high 11 (2014) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDR

65in 2025

2007: 70 days median2008: 89 days median2013: 137 days median2014: 97 days median2015: 111 days median2016: 101 days median2017: 172 days median2018: 107 days median2019: 149 days median2020: 161 days median2021: 62 days median2022: 107 days median2023: 72 days median2024: 29 days median2025: 65 days median
2007high 172 (2017) · low 29 (2024)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · JDR

11in 2022

2008: 12015: 12018: 12020: 12022: 112026 (partial year): 2
2007high 11 (2022) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · JDR

314in 2025

2007: 32008: 142009: 102010: 352011: 622012: 342013: 272014: 492015: 482016: 762017: 1162018: 2392019: 2422020: 2342021: 2102022: 2022023: 1752024: 2062025: 314
2007high 314 (2025) · low 3 (2007)2025

MAUDE reports naming product code JDR, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200787003
2008589114
20090—010
20102—035
20111—062
20121—034
20139137027
20141197049
20157111148
20166101076
201791720116
201881071239
201951490242
202041611234
20213620210
2022510711202
20239720175
20244290206
20253650314
20262—2—

What is it indicated for?

The TriMAX™ Implant System is indicated for hand and foot bone fragment osteotomy fixation and joint arthrodesis.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K190722: TriMAX Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K190722

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026